Active NPI
Berta Rodriguez-Diaz
- Mental Health Counselor
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9550251-6004
- Practice address
- 5770 S 1500 W
Salt Lake City, UT 84123-5216 - Phone
- (801) 265-3412
- NPI assigned
- Feb 3, 2016
- Last updated
- Aug 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9550251-6004 | UT | Primary |
Addresses
Primary practice location
5770 S 1500 W
Salt Lake City, UT 84123-5216
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Phone (888) 949-4864
Other practice location 1
100 S 1000 W
Tooele, UT 84074-4010
Phone (888) 949-4864
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3610 S 1000
Salt Lake City, UT 84119-7829
Phone (801) 288-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Canyon Counseling PLLC | Mental Health | Current | Accepting new patients |
| Valley Behavioral Health Incorporated | Current | Accepting new patients | |
| Valley Mental Health Incorporated | Current | Accepting new patients | |
| Horizons Counseling & Wellness Center | Current | Accepting new patients | |
| Valley Mental Health Incorporated | Mental Health | Past | Accepting new patients |
Locations
4695 S 1900 W
Ste 6
Roy, UT 84067
Phone (801) 931-0488
4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227
4460 S Highland Dr
Slc, UT 84124
Phone (801) 263-7101
66 W Vine St
Ste 1
Tooele, UT 84074
Phone (435) 241-4920
100 S 1000 W
Tooele, UT 84074
Phone (435) 843-3520
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
-
- Clinical Social Worker
- Roy, UT
- NPI 1306556501
-
- Mental Health Counselor
- Tooele, UT
- NPI 1790634764
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1275599797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1336507433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180",
"telephone_number": "888-949-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 S 1500 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841235216",
"telephone_number": "801-265-3412"
}
],
"practiceLocations": [
{
"address_1": "100 S 1000 W",
"address_purpose": "LOCATION",
"city": "Tooele",
"state": "UT",
"postal_code": "840744010",
"country_code": "US",
"telephone_number": "888-949-4864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ-DIAZ",
"first_name": "BERTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "9550251-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.